Amerigroup Colonoscopy Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published Amerigroup negotiated rates for Colonoscopy at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$782.24
Franklin Woods Community Hospital
all plan types
Highest Rate
$1,180.60
Holston Valley Medical Center
all plan types
Rate Spread
2x
across all plan types
Hospitals
7
with Amerigroup data
Amerigroup colonoscopy rates across Tri-Cities hospitals vary roughly 2x, from $782.24 at Franklin Woods Community Hospital to $1,180.60 at Holston Valley Medical Center. The median across all 7 hospitals is $1,085.68. Lower negotiated rates often reflect Medicaid or Medicare plan types rather than commercial coverage.
Amerigroup Colonoscopy Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| Franklin Woods Community Hospital | $782.24 |
| Indian Path Community Hospital | $864.81 |
| Sycamore Shoals Hospital | $864.81 |
| Johnson City Medical Center | $889.47 |
| Hawkins County Memorial Hospital | $1,129.11 |
| Bristol Regional Medical Center | $1,180.60 |
| Holston Valley Medical Center | $1,180.60 |
Median of all 11 published Amerigroup rates for Colonoscopy at these hospitals: $1,085.68
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Reading Amerigroup Colonoscopy Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Where Amerigroup colonoscopy rates sit lowest and highest in Tri. Among the seven hospitals with Amerigroup rates, the lowest published figures are $782.24 at Franklin Woods Community Hospital, $864.81 at Indian Path Community Hospital and $864.81 at Sycamore Shoals Hospital. At the top end are $1,180.60 at Holston Valley Medical Center, $1,180.60 at Bristol Regional Medical Center and $1,129.11 at Hawkins County Memorial Hospital.
How far apart Tri colonoscopy rates run. The page shows a 2x spread, and the median of all 11 published Amerigroup rates is $1,085.68. The plan types listed beside the lowest rates read simply as AMERIGROUP, so the plan behind a rate is not always clear. The hospitals at the high end list AMERIGROUP MEDICARE WELLPOINT, a Medicare Advantage plan, so the plan type can differ from one rate to the next.
What an Amerigroup member can ask before a Tri colonoscopy. These are facility rates, and professional fees are billed separately. A member can ask:
- Amerigroup for the negotiated rate and estimated cost share under their own plan at a named hospital
- Amerigroup whether that hospital is in network for their plan
- The hospital for a written estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Amerigroup plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost Amerigroup Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest Amerigroup negotiated rate for Colonoscopy in Tri-Cities (Johnson City-Kingsport-Bristol) is $782.24 at Franklin Woods Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,180.60 at Holston Valley Medical Center, a 2x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Amerigroup for a pre-service cost estimate specific to your plan.
How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Amerigroup rates?
7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Amerigroup negotiated rates for Colonoscopy in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Amerigroup directly.
Is a preventive colonoscopy covered differently by Amerigroup?
Preventive and diagnostic colonoscopies are often billed differently under Amerigroup plans, which can affect your out-of-pocket cost. If the procedure is reclassified during the visit, different cost-sharing rules may apply. Ask Amerigroup about your plan's specific policy before scheduling.
We are not affiliated with Amerigroup or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Amerigroup or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Amerigroup website: www.amerigroup.com